Gpy-Juniata Park Academy
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About the Provider
Hours of Operation
- HoursNot listed
Inspection/Report History
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.
| Inspection Date | Reason | Description | Status |
|---|---|---|---|
| 2026-01-27 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: Certification rep reviewed staff #1 record and observed record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 has been instructed to request and produce two written, nonfamily references. |
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| 2026-01-27 | Renewal | 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR | Compliant - Finalized |
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Regulation: 3270.31(f)(10) Description: Health and Safety Training - Pediatric First Aid and CPR Noncompliance Area: certification rep reviewed staff #1,2, #3, #4, #5 and #6 record and observed Staff persons did not complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #-1,2,3, 4,5 and 5 will have until 3/19/26 to complete the required training. Until such time as the required training has been completed, staff person #1,2,3, 4, 5 and 6- must be supervised, when interacting with children, by an AGS, primary staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #-1,2,3,4,5 and 6 staff person #--1,2,3,4, 5 and 6 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1, #2, #3, #4, #5, and #6 have all been registered for pediatric first aid through the GPYMCA on 3/20. The certificates will be filed. |
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| 2025-11-07 | Self-Reported Non Compliance | 3270.113(e) - Restraints prohibited | Compliant - Finalized |
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Regulation: 3270.113(e) Description: Restraints prohibited Noncompliance Area: During complaint investigation it was verified staff #1 forcibly pinned down child #1 with both arms against the cafeteria stage restricting the child's movement. Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. |
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Provider Response: (Contact the State Licensing Office for more information.) Following the incident, the staff member was immediately removed from programming and dismissed from all responsibilities. We then implemented additional behavior supports resources and adaptive equipment to assist with managing student behaviors in the program. |
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| 2025-03-03 | Renewal | 3270.124(b)(6) - Insurance coverage information | Compliant - Finalized |
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Regulation: 3270.124(b)(6) Description: Insurance coverage information Noncompliance Area: Certification rep reviewed children #1 and #2 record and observed emergency contacts in record were missing insurance policy numbers. Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. |
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Provider Response: (Contact the State Licensing Office for more information.) The site director will connect with the guardians of children #1 and #2 for the information |
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| 2025-03-03 | Renewal | 3270.192(2)(iv) - Transcript, diploma and letters | Compliant - Finalized |
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Regulation: 3270.192(2)(iv) Description: Transcript, diploma and letters Noncompliance Area: Certification rep reviewed staff #1 record and observed verification of education and transcripts were not in record. Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1's degree and transcripts have been included in file. |
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| 2025-03-03 | Renewal | 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR | Compliant - Finalized |
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Regulation: 3270.31(f)(10) Description: Health and Safety Training - Pediatric First Aid and CPR Noncompliance Area: Certification rep reviewed staff #1 record and observed pediatric first aid in record was not from an approved PQUAS certified trainer. Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 has been registered for the GPY's upcoming pediatric first aid and cpr training on 3/31. Upon |
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| 2025-03-03 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: Certification rep reviewed staff #1 and #2 record and observed signed disclosure statement was not in record. Staff #1 mandated reporter training on record was not an approved DHS mandated reporter training. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 and #2 signed the new discloure form. Staff #1's mandated reporter training has been added to official file. |
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| 2025-03-03 | Renewal | 3270.94(a)(9) - Written record | Compliant - Finalized |
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Regulation: 3270.94(a)(9) Description: Written record Noncompliance Area: During the renewal inspection certification rep reviewed fire drill log and observed written record was not maintained on file for previous months. Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill. |
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Provider Response: (Contact the State Licensing Office for more information.) The site director will conduct a fire drill for the month of March. |
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| 2025-02-03 | Unannounced Monitoring | 3270.192(3) - Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.192(3) Description: Health assessment, TB test Noncompliance Area: Certification rep reviewed staff #5 record and observed it did not include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #5 has completed their health assessment along with TB. |
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| 2025-02-03 | Unannounced Monitoring | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: Certification rep reviewed staff #3 and #4 record and observed it did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) Attached are the complected references for both staff member #3 and #4. |
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| 2025-02-03 | Unannounced Monitoring | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: Continued non- compliance staff #1 State Police criminal record is pending for control: date of request:9/16/24. Cert rep reviewed staff #2 record and observed State Police Criminal Clearances is for volunteer purposes not employment. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff will have their state police criminal record on file. All clearances are completed prior to working directly with the children. |
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| 2024-12-10 | Unannounced Monitoring | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: Continued non-compliance cert rep reviewed emergency plan and observed it did not include continuity of operations. Staff #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid and CPR training and Health and safety training. Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings is completed, staff person # 4 must be supervised, when interacting with children, by an (AGS, primary staff person, or family childcare home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person 4, may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #4 will be supervised until the completion of their Health and Safety Training and their Pediatric First aide class. |
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| 2024-12-10 | Unannounced Monitoring | 3270.192(2)(iv) - Transcript, diploma and letters | Compliant - Finalized |
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Regulation: 3270.192(2)(iv) Description: Transcript, diploma and letters Noncompliance Area: Continued non -compliance certification rep reviewed staff #1and #2 and observed verification of experience was not in record. Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. |
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Provider Response: (Contact the State Licensing Office for more information.) Verification will be completed and in the files for staff #1 and #2 |
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| 2024-12-10 | Unannounced Monitoring | 3270.192(3) - Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.192(3) Description: Health assessment, TB test Noncompliance Area: Continued non- compliance certification rep reviewed staff records and observed staff #2 and did not include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis in record. Staff #5 physical examination on record expired, date in record 5/18/22. Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #2 will schedule their health screening and TB test. Staff #5 has been removed from the schedule as she is currently on FMLA leave without a return date at this time. When she returns, the YMCA will make sure staff #5 is completes a health assessment. |
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| 2024-12-10 | Unannounced Monitoring | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: Continued non-compliance cert rep reviewed staff records and observed #1 records did not include one written nonfamily reference from individuals attesting to the person's suitability to serve as a facility person. Staff #2 and #3 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff members #1 will get their last reference needed to complete their file. Staff member #2 will get their references submitted. Staff #3 - one reference attached in this email, another will be sent in as well. |
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| 2024-12-10 | Unannounced Monitoring | 3270.27(f) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(f) Description: Emergency plan Noncompliance Area: Continued non-compliance certification rep reviewed emergency plan delivery document and observed a copy of the emergency plan and subsequent plan updates was not sent to the county emergency management agency. Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. |
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Provider Response: (Contact the State Licensing Office for more information.) The program director and the supervisor will ensure that the updated plan is delivered to the county emergency agency. |
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| 2024-12-10 | Unannounced Monitoring | 3270.31(e)(4)(i) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i) Description: Age and Training Noncompliance Area: Certification rep reviewed staff #5 record and observed pediatric first aid training in record is expired, date of expiration: 10/14/22. Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #5 has been removed from the schedule as she is currently on FMLA leave without a return date at this time. When she returns, the YMCA will make sure staff #5 is trained in Pediatric First Aid and CPR before being left alone with children. She will be supervised by another staff member until completed. |
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| 2024-12-10 | Unannounced Monitoring | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii) Description: Fire safety - 1 yr. Noncompliance Area: Certification rep reviewed staff #5 record and observed fire safety training in record is expired, date of expiration: 1/15/23. Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #5 has been removed from the schedule as she is currently on FMLA leave without a return date at this time. When she returns, the YMCA will make sure staff #5 is trained in Fire Safety before returning to the site. |
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| 2024-12-10 | Unannounced Monitoring | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: Certification rep reviewed staff #4 record and observed State Police criminal record is pending for control: date of request:9/16/24. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Attached is the copy of the PATCH - State Police Clearance |
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| 2024-12-10 | Unannounced Monitoring | 3270.52/3270.113(a)(1) - Mixed Age Level/Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.52/3270.113(a)(1) Description: Mixed Age Level/Staff assigned to specific children Noncompliance Area: Continued non-compliance, during follow up visit on 12/10/24 cert rep observed staff #1, #4 and #5 out of ratio with a total of 44 children, the youngest child was 5 years old and the oldest child 13 years old. Cert rep observed staff #4 leave the cafeteria room with a total of 9 children to the bathroom leaving staff #1 and #5 with a total of 35 children in the cafeteria. Staff #5 did not know the names and where about of the children in his assigned group. Cert rep observed ratio sheets were not used by staff to keep count of the amount number of children present. Staff #5 gave a total # of 46 children present; number of actual children present at the time was 44. Completed weekly documentation of ratio sheets have not been submitted on a weekly basis. Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). IF USING TIERED LIS The required staff: child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff: child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. |
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Provider Response: (Contact the State Licensing Office for more information.) Ratios will be met with the correct staff to child ratio determined by the youngest child attending. Attached you will find November's ratio sheets. I will send over Decembers sheets and we will make sure that they are submitted weekly moving forward upon the return of programming for the new year. |
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| 2024-10-28 | Unannounced Monitoring | 3270.113(a)(1) - Staff assigned to specific children | Non Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: From previous inspection, cert rep observed staff #3 and #5 working with 40 children the youngest child was 5 years old. During the renewal inspection cert rep observed one child go into the bathroom unsupervised while transitioning from the music room to the cafeteria. Cert rep observed a total of four children leave the cafeteria at a single time unsupervised by staff #3 and #5. Cert rep observed Staff #3 leave staff #5 alone with 40 children while she went ran out to the bathroom due to an injury. During a follow up visit on 9/11/24 certification rep observed Staff #1 and # 5 working alone with a total of 40 children the youngest child was 5 years old. During the follow up visit cert rep observed one child leave the cafeteria unsupervised. During the follow up visit on 9/17/24 cert rep observed Staff #2 leave the cafeteria to take one child to the bathroom leaving the group out of ratio with a total of 40 children to 3 staff, youngest child was 5 years old; staff #1, #2, #3, #4, #5, #6, #7 and #8 were not assigned the responsibility for supervision of specific children. Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. |
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Provider Response: (Contact the State Licensing Office for more information.) THE REGIONAL OFFICE WILL PUT IN A REFERRAL WITH THE REGIONAL KEY FOR ALL STAFF TO RECEIVE SUPERVISION TRAINING.VERIFICATION WILL BE SUBMITTED TO THE REGIONAL OFFICE ONCE ALL STAFF HAVE COMPLETED THE TRAINING. |
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| 2024-10-28 | Unannounced Monitoring | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Non Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: During the renewal inspection certification rep observed staff #2, #3, #4 and #9 record and observed emergency plan training at initial employment was not in record. Cert rep reviewed emergency plan and observed it did not include continuity of operations. Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #2, #4 and 8 completed emergency plan training. Certifications are included in the staff file. Staff #3 and #4 are no longer employed. Staff #9 will complete emergency plan training. Emergency plan will include continuity of operations. |
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| 2024-10-28 | Unannounced Monitoring | 3270.151(b) - Conducted by physician, PA or CRNP | Non Compliant - Finalized |
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Regulation: 3270.151(b) Description: Conducted by physician, PA or CRNP Noncompliance Area: Cert rep reviewed staff #9 record and observed Health assessment in record was not signed by a physician, physician's assistant or CRNP. Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #9 will obtain signature on Health assessment form from physician. |
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| 2024-10-28 | Unannounced Monitoring | 3270.192(2)(iv) - Transcript, diploma and letters | Non Compliant - Finalized |
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Regulation: 3270.192(2)(iv) Description: Transcript, diploma and letters Noncompliance Area: Certification rep reviewed staff #1, #3, #5, #6, and #7 and observed verification of experience was not in record. Staff #8 verification of experienced is not signed and verified. Staff #5 #6 level of education was not in record. Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff files are updated. Staff #3 #5 and #6 are no longer employed. |
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| 2024-10-28 | Unannounced Monitoring | 3270.192(3) - Health assessment, TB test | Non Compliant - Finalized |
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Regulation: 3270.192(3) Description: Health assessment, TB test Noncompliance Area: During the renewal inspection certification rep reviewed staff records and observed staff #3, #5 and #7 did not include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis in record. Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff files are updated. Staff #3, and #5 are no longer employed. |
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| 2024-10-28 | Unannounced Monitoring | 3270.192(5) - Two written references | Non Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: Certification rep reviewed staff records and observed #1 and #4 records did not include one written nonfamily reference from individuals attesting to the person's suitability to serve as a facility person. Staff #5, #6, #7 and #8 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.Staff files are updated. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 record will include the one reference missing. Staff #7 and #8 record will include two references in record. Staff #4, #5 and #6 are no longer employed. |
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| 2024-10-28 | Unannounced Monitoring | 3270.24(a) - Immediate access | Non Compliant - Finalized |
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Regulation: 3270.24(a) Description: Immediate access Noncompliance Area: During the follow up visit on 10/28/24 staff #10 and #11 records were not accessible. Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff files will be accessible. |
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| 2024-10-28 | Unannounced Monitoring | 3270.27(f) - Emergency plan | Non Compliant - Finalized |
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Regulation: 3270.27(f) Description: Emergency plan Noncompliance Area: Certification rep reviewed emergency plan delivery document and observed a copy of the emergency plan and subsequent plan updates was not sent to the county emergency management agency. Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. |
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Provider Response: (Contact the State Licensing Office for more information.) Emergency Plans have been submitted to local municipality and to the county emergency management. |
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| 2024-10-28 | Unannounced Monitoring | 3270.31(f) - Health and Safety Training | Non Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: During the renewal inspection certification rep reviewed staff #7 record and did not observe completion of Pediatric first aid and CPR training by a PQUAS certified trainer in record. During follow up visit on 10/28/24 cert rep observed staff #8 working alone unsupervised without a Pediatric First Aid and CPR training on file. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff is scheduled for Pediatric First Aid CPR by PQUAS certified instructor on 11/15/2024. Until the required training is complete, the staff will be supervised by an AGS who has completed the required training. Staff #8 will not work alone unsupervised until completion of training on Pediatric First Aid Training by a PQUAS certified trainer is on file. |
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| 2024-10-28 | Unannounced Monitoring | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Non Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: During the renewal inspection certification rep reviewed staff #3 record and observed FBI clearance was not in record. Staff #3 and #8 signed disclosure statement was not in record. Staff #9 record did not include an FBI and NSOR clearance. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) staff files updated. Staff #3 is no longer employed. Director will ensure files are regularly audited and no staff are on site without proper hiring documentations. Provisional staff will not work without direct supervision from a permanent employee. |
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| 2024-10-28 | Unannounced Monitoring | 3270.52/3270.113(a)(1) - Mixed Age Level/Staff assigned to specific children | Non Compliant - Finalized |
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Regulation: 3270.52/3270.113(a)(1) Description: Mixed Age Level/Staff assigned to specific children Noncompliance Area: During the follow up visit on 10/28/24 cert rep observed staff #8, #9, #10 and #11 out of ratio with a total of 49 children the youngest child 5 years in age in the cafeteria room. Cert rep observed staff #10 was not physically present with his group, a total of 9 children were observed in the playground area, staff #10 left children unsupervised to watch two other children walk back to the school building cafeteria. Staff #10 was not able to name children in his assigned group. Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). IF USING TIERED LIS: The required staff: child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff: child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff have been on primary care groups, ratios and maintaining groups during transitions. Staff are assigned a group of students and are responsible for the supervision of those specific children. Staff have been trained on group supervision with the expectation that all children in their primary group are within sight and sound at all times. |
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| 2024-08-14 | Renewal | 3270.113(a)(1) - Staff assigned to specific children | Non Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: During the renewal inspection cert rep observed staff #3 and #5 working with 40 children the youngest child was 5 years old. During the renewal inspection cert rep observed one child go into the bathroom unsupervised while transitioning from the music room to the cafeteria. Cert rep observed a total of four children leave the cafeteria at a single time unsupervised by staff #3 and #5. Cert rep observed Staff #3 leave staff #5 alone with 40 children while she went ran out to the bathroom due to an injury. During a follow up visit on 9/11/24 certification rep observed Staff #1 and # 5 working alone with a total of 40 children the youngest child was 5 years old. During the follow up visit cert rep observed one child leave the cafeteria unsupervised. During the follow up visit on 9/17/24 cert rep observed Staff #2 leave the cafeteria to take one child to the bathroom leaving the group out of ratio with a total of 40 children to 3 staff, youngest child was 5 years old; staff #1, #2, #3, #4, #5, #6, #7 and #8 were not assigned the responsibility for supervision of specific children. Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff have been on primary care groups, ratios and maintaining groups during transitions. Staff are assigned a group of students and are responsible for the supervision of those specific children. Staff have been trained on group supervision with the expectation that all children in their primary group are within sight and sound at all times. |
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| 2024-08-14 | Renewal | 3270.113(a)(1) - Staff assigned to specific children | Non Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: From previous inspection, cert rep observed staff #3 and #5 working with 40 children the youngest child was 5 years old. During the renewal inspection cert rep observed one child go into the bathroom unsupervised while transitioning from the music room to the cafeteria. Cert rep observed a total of four children leave the cafeteria at a single time unsupervised by staff #3 and #5. Cert rep observed Staff #3 leave staff #5 alone with 40 children while she went ran out to the bathroom due to an injury. During a follow up visit on 9/11/24 certification rep observed Staff #1 and # 5 working alone with a total of 40 children the youngest child was 5 years old. During the follow up visit cert rep observed one child leave the cafeteria unsupervised. During the follow up visit on 9/17/24 cert rep observed Staff #2 leave the cafeteria to take one child to the bathroom leaving the group out of ratio with a total of 40 children to 3 staff, youngest child was 5 years old; staff #1, #2, #3, #4, #5, #6, #7 and #8 were not assigned the responsibility for supervision of specific children. Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. |
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Provider Response: (Contact the State Licensing Office for more information.) THE REGIONAL OFFICE WILL PUT IN A REFERRAL WITH THE REGIONAL KEY FOR ALL STAFF TO RECEIVE SUPERVISION TRAINING. |
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| 2024-08-14 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Non Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: During the renewal inspection certification rep observed staff #2, #3, #4 and #8 record and observed emergency plan training at initial employment was not in record. Cert rep reviewed emergency plan and observed it did not include continuity of operations. Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #2, #4 and 8 completed emergency plan training. Certifications are included in the staff file. Staff #3 is no longer employed. |
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| 2024-08-14 | Renewal | 3270.182(8) - Copy of initial and subsequent agreements. Parent receives original. | Non Compliant - Finalized |
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Regulation: 3270.182(8) Description: Copy of initial and subsequent agreements. Parent receives original. Noncompliance Area: Certification reviewed child #1 record and observed an initial agreement and subsequent written agreements between the parent and the operator was not in record. Correction Required: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement. |
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Provider Response: (Contact the State Licensing Office for more information.) Child files will be sent over by our leader. |
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| 2024-08-14 | Renewal | 3270.192(2)(iv) - Transcript, diploma and letters | Non Compliant - Finalized |
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Regulation: 3270.192(2)(iv) Description: Transcript, diploma and letters Noncompliance Area: Certification rep reviewed staff #1, #3, #5, #6, #7 and #8 and observed verification of experience was not in record. Staff #5, #6 and #8 level of education was not in record. Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff files are updated. Staff #3 and #5 are no longer employed. |
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| 2024-08-14 | Renewal | 3270.192(3) - Health assessment, TB test | Non Compliant - Finalized |
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Regulation: 3270.192(3) Description: Health assessment, TB test Noncompliance Area: During the renewal inspection certification rep reviewed staff records and observed staff #3, #5 and #7 did not include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis in record. Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff files are updated. |
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| 2024-08-14 | Renewal | 3270.192(5) - Two written references | Non Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: Certification rep reviewed staff records and observed #1 and #4 records did not include one written nonfamily reference from individuals attesting to the person's suitability to serve as a facility person. Staff #5, #6, #7 and #8 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff files are updated. Staff #5 is no longer employed. |
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| 2024-08-14 | Renewal | 3270.27(f) - Emergency plan | Non Compliant - Finalized |
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Regulation: 3270.27(f) Description: Emergency plan Noncompliance Area: Certification rep reviewed emergency plan delivery document and observed a copy of the emergency plan and subsequent plan updates was not sent to the county emergency management agency. Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. |
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Provider Response: (Contact the State Licensing Office for more information.) Emergency Plans have been submitted to local municipality and to the county emergency management. |
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| 2024-08-14 | Renewal | 3270.31(f) - Health and Safety Training | Non Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: During the renewal inspection certification rep reviewed staff #7 record and did not observe completion of Pediatric first aid and CPR training by a PQUAS certified trainer in record. Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f) (1 -- 10) within 90 days of hire. Staff person #7 will have until 10/8/24 to complete the required training. Until such time as the required training has been completed, staff person #7 must be supervised, when interacting with children, by an (AGS, primary staff person, or family childcare home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #7, staff person #7 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff is scheduled for Pediatric First Aid CPR by PQUAS certified instructor on 11/15/2024. Until the required training is complete, the staff will be supervised by an AGS who has completed the required training. |
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| 2024-08-14 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Non Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: During the renewal inspection certification rep reviewed staff #3 record and observed FBI clearance was not in record. Staff #3 and #8 signed disclosure statement was not in record. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) staff files updated. Staff #3 is no longer employed. |
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| 2024-05-01 | Unannounced Monitoring | 3270.124(b)(2) - Physician name, address, phone | Compliant - Finalized |
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Regulation: 3270.124(b)(2) Description: Physician name, address, phone Noncompliance Area: Child #2 record was observed to be missing address and physician /medical care missing on emergency contact form. Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. |
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Provider Response: (Contact the State Licensing Office for more information.) Immediately update Child #2's record with complete emergency contact information, including physician's name, address, and telephone number. |
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| 2024-05-01 | Unannounced Monitoring | 3270.124(b)(6) - Insurance coverage information | Compliant - Finalized |
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Regulation: 3270.124(b)(6) Description: Insurance coverage information Noncompliance Area: Childs #1 record was observed to be missing policy number for a child under a family policy or Medical Assistance benefits, missing on emergency contact form. Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. |
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Provider Response: (Contact the State Licensing Office for more information.) Child #1 does not have a policy number for their health records, so I placed N/A where the policy number is supposed to be. |
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| 2024-05-01 | Unannounced Monitoring | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: Certification rep reviewed child #1 record and observed release person address missing on emergency contact form. Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) Child #1 release address has been added to the form. |
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| 2024-05-01 | Unannounced Monitoring | 3270.182(5) - Consent for administration of minor first-aid required prior to admission | Compliant - Finalized |
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Regulation: 3270.182(5) Description: Consent for administration of minor first-aid required prior to admission Noncompliance Area: Certification rep reviewed child #2 record and observed signed parental consent for administration of minor first-aid procedures by facility staff missing on emergency contact form. Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) Childs #2 have their parental consent for administration of minor first aid procedures by facility staff have been signed by parent. |
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| 2024-05-01 | Unannounced Monitoring | 3270.192(2)(iv) - Transcript, diploma and letters | Compliant - Finalized |
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Regulation: 3270.192(2)(iv) Description: Transcript, diploma and letters Noncompliance Area: During the renewal inspection certification rep reviewed Staff #1 record and observed staff #1 did not have in record verification of experience. Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 will have documentation of education. |
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| 2024-05-01 | Unannounced Monitoring | 3270.192(3) - Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.192(3) Description: Health assessment, TB test Noncompliance Area: During the renewal inspection certification rep reviewed staff #1 record and observed date of results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis not on physical examination form. Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 has added the date for their Tuberculosis Test Date and has completed their Annual Physical as well. |
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| 2024-04-05 | Unannounced Monitoring | 3270.124(b)(2) - Physician name, address, phone | Non Compliant - Finalized |
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Regulation: 3270.124(b)(2) Description: Physician name, address, phone Noncompliance Area: Child #5 record was observed to be missing address and physician /medical care missing on emergency contact from. Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. |
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Provider Response: (Contact the State Licensing Office for more information.) Immediately update Child #5's record with complete emergency contact information, including physician's name, address, and telephone number. |
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| 2024-04-05 | Unannounced Monitoring | 3270.124(b)(4)/3270.182(3) - Written consent/Consent for emergency medical care required prior to admission | Non Compliant - Finalized |
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Regulation: 3270.124(b)(4)/3270.182(3) Description: Written consent/Consent for emergency medical care required prior to admission Noncompliance Area: Certification rep reviewed child #2,#3,#4 and #5 record and observed signed parental consent for emergency medical care for the child missing on emergency contact form. Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) Childs #2, #3, #4, and #5 have their emergency consent forms signed but do not have policy numbers for their children's health records. |
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| 2024-04-05 | Unannounced Monitoring | 3270.124(b)(6) - Insurance coverage information | Non Compliant - Finalized |
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Regulation: 3270.124(b)(6) Description: Insurance coverage information Noncompliance Area: Childs #1 record was observed to be missing policy number for a child under a family policy or Medical Assistance benefits, missing on emergency contact form. Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. |
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Provider Response: (Contact the State Licensing Office for more information.) Child #1 does not have a policy number for their health records, so I placed N/A where the policy number is supposed to be. |
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| 2024-04-05 | Unannounced Monitoring | 3270.124(b)(7) - Name/address/phone release person | Non Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: Certification rep reviewed child #1 record and observed release person address missing on emergency contact form. Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) Child #1 release address has been added to the form. |
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| 2024-04-05 | Unannounced Monitoring | 3270.18(a) - On file at facility | Non Compliant - Finalized |
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Regulation: 3270.18(a) Description: On file at facility Noncompliance Area: During the renewal inspection certification rep observed liability insurance in records expired; date of expiration 1/1/2024. Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Regularly review and update insurance documentation to maintain compliance. The Team District Lead and Site Leader will be responsible for overseeing file maintenance. |
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| 2024-04-05 | Unannounced Monitoring | 3270.182(5) - Consent for administration of minor first-aid required prior to admission | Non Compliant - Finalized |
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Regulation: 3270.182(5) Description: Consent for administration of minor first-aid required prior to admission Noncompliance Area: Certification rep reviewed child #2, #3 and #5 record and observed signed parental consent for administration of minor first-aid procedures by facility staff missing on emergency contact form. Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) Childs #2, #3, and #5 have their parental consent for administration of minor first aid procedures by facility staff have been signed by parent. |
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| 2024-04-05 | Unannounced Monitoring | 3270.182(6) - Signed parental consent for transportation, walking excursions, swimming and wading | Non Compliant - Finalized |
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Regulation: 3270.182(6) Description: Signed parental consent for transportation, walking excursions, swimming and wading Noncompliance Area: Certification rep reviewed child, #2 and #3 record and observed signed parental consent for transportation, walking excursions, swimming and wading missing on the emergency contact form. Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading. |
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Provider Response: (Contact the State Licensing Office for more information.) Childs #2 and #3 have their documents signed for transportation, walking excursions, swimming and wading. |
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| 2024-04-05 | Unannounced Monitoring | 3270.192(2)(iv) - Transcript, diploma and letters | Non Compliant - Finalized |
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Regulation: 3270.192(2)(iv) Description: Transcript, diploma and letters Noncompliance Area: During the renewal inspection certification rep reviewed staff #2 transcripts did not include name of staff #2 to verify level of education. Staff #1, #2 and #3 did not have in record verification of experience. Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 and #2 no longer work for Juniata Park Academy's After-School Program. Staff #3 will have documentation of education. |
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| 2024-04-05 | Unannounced Monitoring | 3270.192(3) - Health assessment, TB test | Non Compliant - Finalized |
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Regulation: 3270.192(3) Description: Health assessment, TB test Noncompliance Area: During the renewal inspection certification rep reviewed staff #3 record and observed date of results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis not on physical examination form. Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #3 has added the date for their Tuberculosis Test Date and has completed their Annual Physical as well. |
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| 2024-04-05 | Unannounced Monitoring | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Non Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: Continued noncompliance from renewal inspection: During the follow up visit on 4/5/24 certification rep reviewed staff #1, #2 and #3 record and observed staff do not have DHS clearances in record. Staff #1 does not have an NSOR clearance date of hire: 12/21/23, start date:1/3/24. Staff #3 does not have an NSOR clearance in record, date of hire: 9/13/23, start date:10/17/23. Staff #2 does not have an NSOR clearance date of hire: 12/15/23, start date: 1/3/24. Cer rep observed staff #2 record and it did not contain out of state New Jersey clearances; Child abuse, State Police and NSOR clearance. Staff #1, #2, and #3 were all observed to be working with children. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff members #1 and #2 are no longer with the YMCA. Staff member #3 has called the hotline and we are expecting to receive another copy of their NSOR. Staff #3 will not be permitted to work with children until the NSOR clearance is received. |
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| 2024-01-29 | Renewal | 3270.123(a) - Signed | Non Compliant - Finalized |
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Regulation: 3270.123(a) Description: Signed Noncompliance Area: Certification rep reviewed child #1, #2, #3, #4 and #5 and observed Child agreement forms were not signed by the operator at the time of inspection. Correction Required: An agreement shall be signed by the operator and the parent. |
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Provider Response: (Contact the State Licensing Office for more information.) The Site Leader and their team worked with families to complete all membership agreement forms. All Membership Agreement Forms were signed and completed by parents/guardians of all children in the program. |
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| 2024-01-29 | Renewal | 3270.123(a)(4)/3270.123(a)(5) - Arrival/departure times/Designated release persons | Non Compliant - Finalized |
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Regulation: 3270.123(a)(4)/3270.123(a)(5) Description: Arrival/departure times/Designated release persons Noncompliance Area: Certification rep reviewed child #1,#2, #3, #4 and #5 record and observed child's arrival and departure times missing on fee agreement from. Certification rep reviewed child #1, #2, #3, #4 and #5 record and observed persons designated by a parent to whom the child may be released missing on the agreement form. Correction Required: An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) The Site Leader and their team worked with families to complete all membership agreement forms. All Membership Agreement Forms were signed and completed by parents/guardians of all children in the program. |
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| 2024-01-29 | Renewal | 3270.123(a)(6)/3270.182(2) - Admission date/Application, admission, withdrawal dates | Non Compliant - Finalized |
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Regulation: 3270.123(a)(6)/3270.182(2) Description: Admission date/Application, admission, withdrawal dates Noncompliance Area: Certification rep reviewed child #1,#2,#3,#4 and #5 record and observed the date of the child's admission missing on the agreement form. Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child. |
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Provider Response: (Contact the State Licensing Office for more information.) The Site Leader and their team worked with families to complete all membership agreement forms. All Membership Agreement Forms were signed and completed by parents/guardians of all children in the program. |
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| 2024-01-29 | Renewal | 3270.124(b)(1)/3270.124(b)(2) - Child's name, birth date/Physician name, address, phone | Non Compliant - Finalized |
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Regulation: 3270.124(b)(1)/3270.124(b)(2) Description: Child's name, birth date/Physician name, address, phone Noncompliance Area: Certification rep reviewed child #1 record and observed birth date of the child missing on emergency contact form.Certification rep reviewed child #2and #3 record and observed the name, address and telephone number of the child's physician or source of medical care missing on emergency contact form. Child #5 record was observed to be missing address and physician /medical care missing on emergency contact from. Correction Required: Emergency contact information must include the name and birth date of the child. Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. |
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Provider Response: (Contact the State Licensing Office for more information.) The Site Leader and their team worked with families to complete all emergency contact forms. All emergency contact forms were signed and completed by parents/guardians of all children in the program. |
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| 2024-01-29 | Renewal | 3270.124(b)(3) - Parent home/work address, phone | Non Compliant - Finalized |
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Regulation: 3270.124(b)(3) Description: Parent home/work address, phone Noncompliance Area: Certification rep reviewed child #4 record and observed home and work addresses and telephone work number missing on emergency contact form. Child #5 record work address and work phone number missing on emergency contact form. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. |
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Provider Response: (Contact the State Licensing Office for more information.) The Site Leader and their team worked with families to complete all emergency contact forms. All emergency contact forms were signed and completed by parents/guardians of all children in the program. |
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| 2024-01-29 | Renewal | 3270.124(b)(4)/3270.182(3) - Written consent/Consent for emergency medical care required prior to admission | Non Compliant - Finalized |
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Regulation: 3270.124(b)(4)/3270.182(3) Description: Written consent/Consent for emergency medical care required prior to admission Noncompliance Area: Certification rep reviewed child #1,#2,#3 and #5 record and observed signed parental consent for emergency medical care for the child missing on emergency contact form. Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) The Site Leader and their team worked with families to complete all emergency contact forms. All emergency contact forms were signed and completed by parents/guardians of all children in the program. |
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| 2024-01-29 | Renewal | 3270.124(b)(5)/3270.124(b)(6) - Information re: special needs/Insurance coverage information | Non Compliant - Finalized |
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Regulation: 3270.124(b)(5)/3270.124(b)(6) Description: Information re: special needs/Insurance coverage information Noncompliance Area: Certification rep reviewed child #1, #2, #3, #4 and #5 and observed information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation missing on the emergency contact form.Certification rep reviewed children #2, #3 and #5 record and observed health insurance coverage information missing. Childs #1, #2, #3, #4 and #5 record were observed to be missing policy number for a child under a family policy or Medical Assistance benefits, missing on emergency contact form. Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. |
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Provider Response: (Contact the State Licensing Office for more information.) The Site Leader and their team worked with families to complete all emergency contact forms. All emergency contact forms were signed and completed by parents/guardians of all children in the program. |
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| 2024-01-29 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Non Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: Certification rep reviewed child #1, #4 and #5 record and observed release person address missing on emergency contact form. Child #5 record was observed to be missing release person phone number on emergency contact form. Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) The Site Leader and their team worked with families to complete all emergency contact forms. All emergency contact forms were completed and signed by parents/guardians of all children in the program. |
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| 2024-01-29 | Renewal | 3270.14 - Pertinent Laws & Regulations | Non Compliant - Finalized |
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Regulation: 3270.14 Description: Pertinent Laws & Regulations Noncompliance Area: During the renewal inspection certification rep observed Staff #1, #2, #3, #4 and #5 record and observed Emergency plan training at time of hire not in records. Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. |
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Provider Response: (Contact the State Licensing Office for more information.) Upon reviewing the violation, we have taken immediate action to rectify the situation. The Team District Lead and Site Director have personally conducted emergency plan training sessions for all staff members. We have obtained the necessary training certificates for each staff member and will promptly add them to their personnel folders to ensure compliance. |
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| 2024-01-29 | Renewal | 3270.14 - Pertinent Laws & Regulations | Non Compliant - Finalized |
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Regulation: 3270.14 Description: Pertinent Laws & Regulations Noncompliance Area: During the renewal inspection certification rep reviewed staff #5 record and observed staff #5 had no record of completing 10-hour health and safety training and one hour health and safety update within the 90-day period, date of hire:9/13/23 start date: 10/17/23. Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. |
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Provider Response: (Contact the State Licensing Office for more information.) Upon reviewing the violation, we discovered that Staff #5 did indeed encounter challenges in completing the required 10-hour health and safety training and one-hour update within the 90-day period from their start date of October 17, 2023. Unfortunately, the completion of this training was delayed due to a personal issue that arose when Staff #5's laptop was stolen shortly after their start date. To address this issue promptly, we immediately made arrangements for Staff #5 to complete the required training. We ensured that Staff #5 has the necessary resources to fulfill this requirement within the stipulated timeframe. |
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| 2024-01-29 | Renewal | 3270.18(a) - On file at facility | Non Compliant - Finalized |
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Regulation: 3270.18(a) Description: On file at facility Noncompliance Area: During the renewal inspection certification rep observed liability insurance in records expired; date of expiration 1/1/2024. Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Upon thorough review, we would like to clarify that the YMCA's liability insurance has not expired. The discrepancy arose due to an outdated record being inadvertently posted on the DHS board during the inspection. We apologize for any confusion this may have caused. To rectify the situation promptly, we have provided the updated and current liability insurance record to the site leader responsible for maintaining the DHS board. We have ensured that the correct and current information is now prominently displayed for reference. |
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| 2024-01-29 | Renewal | 3270.182(4)/3270.182(5) - Consent for administration of medications or special dietary needs/Consent for administration of minor first-aid required prior to admission | Non Compliant - Finalized |
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Regulation: 3270.182(4)/3270.182(5) Description: Consent for administration of medications or special dietary needs/Consent for administration of minor first-aid required prior to admission Noncompliance Area: Certification rep reviewed staff #1,#2,#3 and #5 record and observed signed parental consent for administration of medications or special dietary needs missing on emergency contact form.Certification rep reviewed child #1,#2,#3 and #5 record and observed signed parental consent for administration of minor first-aid procedures by facility staff missing on emergency contact form. Correction Required: A child's record shall contain signed parental consent for administration of medications or special dietary needs. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) The Site Leader and their team worked with families to complete all emergency contact forms. All emergency contact forms were completed and signed by parents/guardians of all children in the program. |
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| 2024-01-29 | Renewal | 3270.182(6) - Signed parental consent for transportation, walking excursions, swimming and wading | Non Compliant - Finalized |
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Regulation: 3270.182(6) Description: Signed parental consent for transportation, walking excursions, swimming and wading Noncompliance Area: Certification rep reviewed child #1, #2, #3 and #5 record and observed signed parental consent for transportation, walking excursions, swimming and wading missing on the emergency contact form. Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading. |
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Provider Response: (Contact the State Licensing Office for more information.) The Site Leader and their team worked with families to complete all emergency contact forms. All emergency contact forms were completed and signed by parents/guardians of all children in the program. |
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| 2024-01-29 | Renewal | 3270.192(2)(iv) - Transcript, diploma and letters | Non Compliant - Finalized |
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Regulation: 3270.192(2)(iv) Description: Transcript, diploma and letters Noncompliance Area: During the renewal inspection certification rep reviewed staff #2 record and observed level of education not in record, staff #4 transcripts did not include name of staff #4 to verify level of education. Staff #2, #3, #4 and #5 did not have in record verification of experience. Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. |
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Provider Response: (Contact the State Licensing Office for more information.) All educational records for Staff #2 have been thoroughly verified and added to their respective staff folders onsite. Additionally, we have ensured that transcripts for Staff #4 now include the necessary information to verify their level of education. We have obtained staff record verification for Staff #3 and #4. We are in the process of obtaining record verification for staff #2 and #5. |
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| 2024-01-29 | Renewal | 3270.192(3) - Health assessment, TB test | Non Compliant - Finalized |
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Regulation: 3270.192(3) Description: Health assessment, TB test Noncompliance Area: During the renewal inspection certification rep reviewed staff #5 record and observed date of results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis not on physical examination form. Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) To address this issue promptly, Staff #5 will resubmit a copy of her medical records with the correct dates added. We will ensure that the updated documentation is promptly added to her record to ensure compliance with regulations. |
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| 2024-01-29 | Renewal | 3270.192(5) - Two written references | Non Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: During the renewal inspection Staff #2, #3, #4 and #5 records were reviewed, and certification rep observed records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) The YMCA of Greater Philadelphia obtains references for all staff prior to their onboarding through our Human Resources dept. We have ensured that the Site Director has access to all references and has added the missing references to the files of Staff #2, #3, #4, and #5 at the school site. |
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| 2024-01-29 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Non Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: During the renewal inspection certification reviewed staff #1, #2, #3, #4 and #5 record and observed staff do not have DHS clearances in record. Staff #1 does not have an FBI clearance or receipt of fingerprint in record, date of hire:1/29/24, start date: 1/30/24. Staff#2 does not have an NSOR clearance or Child Abuse Clearance in record date, date if hire: 11/3/23, start date:11/27/23. Staff #3 does not have an NSOR clearance and Child Abuse in record, date of hire: 12/21/23, start date:1/3/24. Staff #4 does not have an NSOR clearance and Child Abuse in record, date of hire: 12/15/23, start date: 1/3/24. Staff #5 does not have an NSOR clearance in record, date of hire: 9/13/23, start date:10/17/23. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Upon reviewing the violation, we would like to clarify that all staff members are required to have FBI, State Police, Child Abuse, and NSOR clearances before commencing employment with the Greater Philadelphia YMCA. We will make sure all clearance documents are in their staff folders. |
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| 2024-01-29 | Renewal | 3270.94(a)(1) - Every 60 days | Non Compliant - Finalized |
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Regulation: 3270.94(a)(1) Description: Every 60 days Noncompliance Area: Certification rep reviewed the fire drill log and observed it was not conducted within 60-day period; date of documented fire drill in record.2/12/2024 Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. |
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Provider Response: (Contact the State Licensing Office for more information.) The Site Director has scheduled fire drills for the remainder of the program to ensure that we are fully compliant with regulations. |
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| 2023-09-21 | Initial review | Initial review | Compliant - Finalized |
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